Vaccination against poliomyelitis in Brazil from 2011 to 2021: successes, setbacks, and challenges ahead

Maria Rita Donalisio1, Alexandra Crispim Boing2, Ana Paula Sayuri Sato3

  • 1Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas. R. Tessália Vieira de Camargo 126, Cidade Universitária Zeferino Vaz. 13083-887 Campinas SP Brasil. rita.donalisio@gmail.com.

Ciencia & Saude Coletiva
|January 18, 2023
PubMed

Insights

Childhood polio vaccination coverage declined significantly in Brazil between 2011 and 2021, especially in vulnerable regions and during the COVID-19 pandemic, increasing reintroduction risks.

Area of Science:

  • Public Health
  • Epidemiology
  • Health Policy

Background:

  • Childhood vaccination coverage (VC) has declined, raising public health concerns.
  • Polio vaccination is critical for preventing disease reintroduction.

Purpose of the Study:

  • To analyze temporal trends in polio vaccine coverage in Brazil (2011-2021).
  • To map vaccination coverage geographically, including the COVID-19 pandemic period.
  • To identify regions with declining VC and social vulnerability.

Main Methods:

  • Ecological study using interrupted time series (STI) and spatial analysis.
  • Data from the National Immunization Program Information System (2011-2021).
  • Bayesian models for VC distribution and Moran index for spatial clusters.

Main Results:

  • A consistent reduction in VC observed across all Brazilian regions.
  • More pronounced drops in North and Northeast regions, particularly during the COVID-19 pandemic.
  • Significant VC declines linked to states and regions with higher social vulnerability post-2019.

Conclusions:

  • Declining VC poses an imminent risk of wild polio virus reintroduction in Brazil.
  • Addressing these challenges requires strengthening the Brazilian Health System (SUS).
  • Targeted interventions are needed for vulnerable populations and regions.

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